SEC Form 4 · accession 0001659166-17-000080
Fortive Corp · FTV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stacey A. Walker
Officer — SVP - Human Resources
Period of report
Feb 23, 2017
Accepted (ET)
Feb 27, 2017 · 7:00 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001659166
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 24, 2017 | M | 2,991 | — | A | 4,739 | D | |
| Common Stock | Feb 24, 2017 | F | 884 | $57.79 | D | 3,855 | D | |
| Common StockF2 | holding | — | — | — | 346 | I | By 401(k) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F3 | $57.26 | Feb 23, 2017 | A | 26,800 | A | — | Feb 23, 2027 | Common Stock | 26,800 | 26,800 | D |
| Restricted Stock UnitF1,F4 | — | Feb 24, 2017 | M | 2,991 | D | — | — | Common Stock | 2,991 | 11,962 | D |
Explanation of responses
- F1Restricted stock units are payable in shares of common stock on a one-to-one basis.
- F2Based on the closing price of the Issuer's common stock of $55.31 on January 31, 2017.
- F3One third of the options granted vest on each of the third, fourth, and fifth anniversary of the grant date.
- F4In connection with the separation of the Issuer from Danaher Corporation ("Danaher"), Restricted Stock Units issued by Danaher on February 24, 2016 to the Reporting Person that remained unvested as of July 2, 2016 were converted into 14,953 Restricted Stock Units of the Issuer vesting in five equal annual installments beginning on February 24, 2017.